Dr Kenneth L Distefano Sr, MD - Plastic Surgery in Verona, NJ

  1. Home
  2. Plastic Surgery
  3. NJ
  4. Verona
Dr Kenneth L Distefano Sr, MD is a Plastic Surgery physician based in Verona, New Jersey. Dr Kenneth L Distefano Sr is licensed to practice in New Jersey (license number 25MA02454300) and his current practice location is 1 Mount Prospect Ave, Verona, New Jersey. He can be reached at his office (for appointments etc.) via phone at (973) 239-7777.

NPI number for Dr Kenneth L Distefano Sr is 1346324852 and his current mailing address is 1 Mount Prospect Ave, Verona, New Jersey. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346324852.

Contact Information

Dr Kenneth L Distefano Sr, MD
1 Mount Prospect Ave,
Verona, NJ 07044-2707
(973) 239-7777
(973) 239-7082

Map and Direction




Physician's Profile

Full NameDr Kenneth L Distefano Sr
GenderMale
SpecialityPlastic Surgery
Location1 Mount Prospect Ave, Verona, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1346324852
  • Provider Enumeration Date: 10/24/2006
  • Last Update Date: 09/06/2023

Medical Identifiers

Medical identifiers for Dr Kenneth L Distefano Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1346324852NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery 25MA02454300 (New Jersey)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kenneth L Distefano Sr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Kenneth L Distefano Sr, MD
1 Mount Prospect Ave,
Verona, NJ 07044-2707

Ph: (973) 239-7777		Dr Kenneth L Distefano Sr, MD
1 Mount Prospect Ave,
Verona, NJ 07044-2707

Ph: (973) 239-7777

Reviews and Comments


Plastic Surgery Doctors in Verona, NJ

Robert Agresti, D.O.
Plastic Surgery
Medicare: Medicare Enrolled
Practice Location: 1 Mount Prospect Ave, Verona, NJ 07044
Phone: 973-239-5580    Fax: 973-239-7082

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.